Claim Adjudication

Should possess U.S Health insurance claim processing experience - Knowledge of medical billing and coding terminologies - Ready to work in Night Shift as well as Day shift - Understanding of plan documents and general benefits - Familiarity with terms such as deductible, out of pocket, coinsurance, and copay - Strong attention to detail and accuracy -...

Conduct thorough reviews of claims to identify and rectify any discrepancies or errors. - Implement quality assurance measures to enhance the accuracy and efficiency of the claims process. - Accurately enter billing information for claim files into the system. - Ensure that all necessary documentation is recorded and maintained for auditing purposes. -...

Dear All, Urgently hiring for a leading insurance company in Mumbai. Location : Mumbai. Role : Claims Assessor. Key Accountability - Managing Claims and to have strong eye on risk i.e. claims adjudication of Death/ Credit llife claims - To drive closure from team i.e. claim assessment of cases within TAT - Liaising with stakeholders and partners (MPH) -...

Hello Greetings for the day!! HSc or Any graduate. 1 + Years of experience with Medical Billing, Claims Processing, Claims Settlement, Adjudication, Claims processing and Insurance. **Job Types**: Full-time, Permanent **Salary**: ₹180,000.00 - ₹300,000.00 per year **Benefits**: - Health insurance - Life insurance - Paid sick time - Paid time off -...

We are Hiring for a Top MNC Company!!! Designation: Back End Support - Claim Process Shift timing: Night Shift - US shift (8pm to 6 am) Cab facilities available Work from Office (Both way cab facilities available) **Salary**: 19k CTC (Take Home - 14K) Location: Airoli, Navi Mumbai **Job Description**: The Healthcare Operations vertical helps our clients...

Project Name - E-Mahatma Jyotirao Phule Jan Arogya Yojana (MLPJAY) Designation - Medical Officer Location - Worli Qualification MBBS Job Description - Ensure using self login ID Verifies all necessary document and technical details mandatory for claims processing Verifies Previously Consumed amount Verifies enrollment details and Duration of patients...

Ensure using self login ID Verifies all necessary document and technical details mandatory for claims processing Verifies Previously Consumed amount Verifies enrollment details and Duration of patients Stay in Hospital Keeping claim pending if any document is missing and need to keep pending twice Ensure compliance all mandatory documents Ensure...

Paramount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...

Paramount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...

Paramount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...

Paramount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...

Paramount is presently servicing more than 50 lakh lives managing Corporate and Individual Policies and an additional 4 crores lives managing State Government Health Policies. Recipient of 'TPA of the Year' award for two consecutive years at the India Insurance Summit & Awards (2018 & 2019) We are hiring doctors for medi - claim processing hence medically...

Processing of claims request received from the hospital Proper scrutiny of the medical documents received from the hospital/ patient and ask for relevant details to corroborate with the available diagnosis. Collate the medical details with the applicable policy terms to arrive at the final decision of claims adjudication. Coordination with the insurance...

Processing of claims request received from the hospital Proper scrutiny of the medical documents received from the hospital/ patient and ask for relevant details to corroborate with the available diagnosis. Collate the medical details with the applicable policy terms to arrive at the final decision of claims adjudication. Coordination with the insurance...

Processing of claims request received from the hospital Proper scrutiny of the medical documents received from the hospital/ patient and ask for relevant details to corroborate with the available diagnosis. Collate the medical details with the applicable policy terms to arrive at the final decision of claims adjudication. Coordination with the insurance...

Processing of claims request received from the hospital Proper scrutiny of the medical documents received from the hospital/ patient and ask for relevant details to corroborate with the available diagnosis. Collate the medical details with the applicable policy terms to arrive at the final decision of claims adjudication. Coordination with the insurance...

Processing of claims request received from the hospital Proper scrutiny of the medical documents received from the hospital/ patient and ask for relevant details to corroborate with the available diagnosis. Collate the medical details with the applicable policy terms to arrive at the final decision of claims adjudication. Coordination with the insurance...

**Job Profile** - Calls insurance to confirm receipt of claim - Calls insurance to request claim be adjudicated - Following up on the claims send for adjudication. - Gathers all required appeal information for denied cases to assist in drafting the appeal - Updates information in practice management software: Billing notes and status. - Request clients if...

This position is responsible for the delivery of exceptional customer service through claims review as per SLA. ·Adjudicate each claim with available details of defect & estimates. Collect, verify and analyse information obtained during the claims process used in settling claims to ensure that claims are valid and that settlements are made according...

This position is responsible for the delivery of exceptional customer service through claims review as per SLA. ·Adjudicate each claim with available details of defect & estimates. Collect, verify and analyse information obtained during the claims process used in settling claims to ensure that claims are valid and that settlements are made according to...